| NPI | 1740706373 |
|---|---|
| Doing Business As | LYNNWOOD DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | SUMAN CHINTALA President 425-778-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00011103) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |