NPI | 1942737085 |
---|---|
Doing Business As | CRYSTAL SPRINGS DENTAL |
Entity Type | Organization |
Authorized Contact | JENNIFER STINDE Dentist 206-859-8753 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60464622) |
Enumeration Date | 2017-05-19 |
Last Update Date | 2022-07-21 |