| NPI | 1871942169 |
|---|---|
| Doing Business As | WILLOW SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NIKOLINA NIELSEN Dentist 253-864-0310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 60146593) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |