| NPI | 1720714439 |
|---|---|
| Doing Business As | PUYALLUP SUMMIT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HUZAIFA YASIN CEO 347-671-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |