| NPI | 1932558780 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF MAPLE VALLEY |
| Entity Type | Organization |
| Authorized Contact | TANYA GALIANT Manager 425-432-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA DE00011005) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2016-06-11 |