NPI | 1891971701 |
---|---|
Doing Business As | POULSBO DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER W THORNTON President/Dentist 360-779-3633 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009358) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2008-08-04 |