| NPI | 1902356058 |
|---|---|
| Doing Business As | PREMIER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROSELIND S NAM Orthodontist 253-642-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60139654) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |