| NPI | 1760257844 |
|---|---|
| Doing Business As | WINCHESTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL KING President 360-567-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-04-10 |