| NPI | 1699590174 |
|---|---|
| Doing Business As | KIDS CHOICE DENTAL OF ISSAQUAH |
| Entity Type | Organization |
| Authorized Contact | ANGIE METZGER Billing Manager 253-219-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |