| NPI | 1881189322 |
|---|---|
| Doing Business As | GREEN LEAF KIDS |
| Doing Business As | GREEN LEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | YONATAN NIR AHDUT Dentist/Owner 253-426-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60479557) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-06-11 |