NPI | 1962001347 |
---|---|
Doing Business As | GREEN DENTAL GENERAL & COSMETIC |
Entity Type | Organization |
Authorized Contact | MARIDETTE CUNANAN Owner, Dentist 360-990-1034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-10-18 |
Last Update Date | 2020-10-18 |