| NPI | 1710446406 |
|---|---|
| Other Name | AVENUE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | VARUN SHARMA Dentist/Owner 253-435-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |