NPI | 1780956227 |
---|---|
Doing Business As | KITSAP KID'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | JESSIE BANKS Owner 360-698-3242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010823) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2014-01-16 |