| NPI | 1699967265 |
|---|---|
| Other Name | NOOKSACK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD GEORGE Director Of Health & Social Service 360-592-5176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2022-07-21 |