| NPI | 1780001743 |
|---|---|
| Doing Business As | LAUREL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHELSEA MARIE NAGEL Accounts Admin 360-357-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |