| NPI | 1720692726 |
|---|---|
| Doing Business As | KODAK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | NOELAN JURGEN SCHAFER Owner 509-960-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |