NPI | 1902090210 |
---|---|
Doing Business As | CAPITAL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LENORE SM INGRAM President 360-754-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5076) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |