NPI | 1760507321 |
---|---|
Doing Business As | DOVE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROLAND GERARD VANTRAMP Owner General Dentist 253-770-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6027) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2009-10-30 |