NPI | 1700203114 |
---|---|
Doing Business As | SPANAWAY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KWANSOO LEE Dentist/Owner 253-777-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60293904) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |