NPI | 1760827380 |
---|---|
Doing Business As | ELMA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | STEPHEN EDWARDS Owner/Manager 360-861-8318 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE000010695) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2013-05-09 |