| NPI | 1780009407 |
|---|---|
| Doing Business As | EASTSIDE KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE Contact 425-968-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE6021630) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-11-09 |