| NPI | 1942318829 |
|---|---|
| Doing Business As | TWIN CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PENNIE LYN BROYLES Office Manager 360-577-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4754) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 8788) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |