| NPI | 1790486389 |
|---|---|
| Doing Business As | JUANITA BAY DENTIST |
| Entity Type | Organization |
| Authorized Contact | THOMAS HOANG VU President 425-823-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |