NPI | 1871779686 |
---|---|
Doing Business As | REDMOND TOWN DENTAL |
Entity Type | Organization |
Authorized Contact | FARDAD JOHN SAYYAH Dentist 425-556-9795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE10200) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-01-11 |