| NPI | 1669768545 |
|---|---|
| Doing Business As | SOUTH SOUND DENTAL & DENTURES |
| Entity Type | Organization |
| Authorized Contact | FRED E ELLIS Owner/President 360-709-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE10844) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |