| NPI | 1851833990 |
|---|---|
| Doing Business As | UNIVERSITY PLACE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN S BIENSTOCK Owner 253-215-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |