| NPI | 1881700920 |
|---|---|
| Doing Business As | STANWOOD DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHANN M TI Partner 360-629-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 8211) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: WA 6284) |
| 261QD0000X Clinic/Center, Dental (Licence: WA 7741) | |
| 261QD0000X Clinic/Center, Dental (Licence: WA 9599) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |