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 |