NPI | 1699962670 |
---|---|
Doing Business As | WOODINVILLE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | GREG EMENS Business Manager 425-402-8393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010338) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |