| NPI | 1790995058 |
|---|---|
| Doing Business As | FAMILY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LESLIE P LIVINGSTON Office Coordinator 360-882-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-05-10 |