| NPI | 1851744940 |
|---|---|
| Doing Business As | MAPLE LEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN S MILLER Owner 206-402-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00006218) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00003086) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |