NPI | 1811625700 |
---|---|
Doing Business As | DAVIDSON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW DAVID NORDLIE Owner/Dentist 253-249-3581 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-08-10 |