| NPI | 1831142827 |
|---|---|
| Doing Business As | SOUTH SOUND ORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SANDRA LOUISE HARRELSON Financial Coordinator 253-874-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 602515196) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-03-25 |