NPI | 1750743415 |
---|---|
Doing Business As | MONROE DENTAL |
Entity Type | Organization |
Authorized Contact | G BRYON CRAIG Owner 360-794-7132 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 10472) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |