| NPI | 1962708651 |
|---|---|
| Doing Business As | LIGHT DENTAL STUDIOS UNIVERSITY PLACE |
| Entity Type | Organization |
| Authorized Contact | DARCY M KANAR Office Manager 253-565-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 7977) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |