| NPI | 1811669799 |
|---|---|
| Doing Business As | NOVA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTINE H. PHAM Dentist/Owner 360-546-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |