| NPI | 1811192016 |
|---|---|
| Doing Business As | DENTAL CARE OF LACEY |
| Entity Type | Organization |
| Authorized Contact | ADAM PHILIP CRAMER President 360-455-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 10599) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |