| NPI | 1952296832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETI SIDHU Owner 253-335-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-20 |