NPI | 1720522360 |
---|---|
Doing Business As | FRESH SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DAVID S SHAO Owner 206-212-4925 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE11005) |
Enumeration Date | 2016-12-16 |
Last Update Date | 2016-12-16 |