| NPI | 1851465090 |
|---|---|
| Doing Business As | EASTSIDE EMERGENCY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHERILYN VICTORIA MALLOY President 360-459-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |