| NPI | 1689053159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE DUNN Part Owner / Practicing Dentist 253-848-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |