| NPI | 1811353923 |
|---|---|
| Doing Business As | MERIDIAN DENTAL CLINIC FEDERAL WAY |
| Entity Type | Organization |
| Authorized Contact | MARK V WALKER Manager/Owner 253-838-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00005631) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |