| NPI | 1750516639 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL E WILSON Owner 360-892-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE000092841) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |