| NPI | 1912223777 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RICK A JUDE Owner/President 360-438-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 602955081) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |