| NPI | 1730789082 |
|---|---|
| Doing Business As | ELLIOTT BAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MISTY CERVANTES-KIM Owner/Dentist 206-812-7957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |