NPI | 1851097224 |
---|---|
Doing Business As | LAKE SAMMAMISH KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANNIKKA FROSTAD-THOMAS FREELOVE Owner Dentist 425-281-1823 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-06-13 |