| NPI | 1740514561 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF PUYALLUP |
| Entity Type | Organization |
| Authorized Contact | DAVID S SHAO Owner 425-679-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010340) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2021-01-06 |