| NPI | 1689020018 |
|---|---|
| Doing Business As | EAGLE HARBOR DENTAL |
| Entity Type | Organization |
| Authorized Contact | ORLANDO J FUGARO Owner 206-842-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 10104) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |