| NPI | 1679365233 |
|---|---|
| Doing Business As | SPRINGWOODS VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MICHELLE CLARK S Corp Owner 253-254-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |