| NPI | 1710210240 |
|---|---|
| Doing Business As | CORDATA FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | TERRI R ZWEBER Owner/ Dentist 360-734-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 9350) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |