| NPI | 1689384299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BARTLETT Billing Insurance COO Rdinator 253-833-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |