NPI | 1821427832 |
---|---|
Doing Business As | ACORN DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | JOSEPH D KEYES Sole Member 360-675-2942 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 60392932) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2013-11-11 |