| NPI | 1700816022 |
|---|---|
| Doing Business As | 28TH AVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NOMITA MEHTA General Dentist 509-576-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA UBI NO 602598614) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-07-21 |