| NPI | 1841567062 |
|---|---|
| Doing Business As | VANCOUVER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HOOMAN SHAKIBA Manager 360-896-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA de60242017) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |