| NPI | 1679111033 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL |
| Doing Business As | NW DISTINCTIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN M YANKEE Dentist 360-857-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-02-20 |