| 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 |