| NPI | 1932700671 |
|---|---|
| Doing Business As | SPANAWAY CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KWANSOO LEE Dentist 253-294-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |