| NPI | 1760961817 |
|---|---|
| Doing Business As | MCGOVERN AND BORIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADFORD CHARLES SPIKA President 253-651-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 102998) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |