| NPI | 1740760651 |
|---|---|
| Other Name | PAVLOVICH DENTAL |
| Doing Business As | PAVLOVICH DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY JOHNSTON Owner 360-528-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60671571) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |