| NPI | 1689140758 |
|---|---|
| Doing Business As | FEDERAL WAY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JESSICA AHN Owner 253-432-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2023-12-26 |