NPI | 1881140499 |
---|---|
Doing Business As | DELORM FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | TRACY L. DELORM Doctor 425-334-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE9086) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |