| NPI | 1962729889 |
|---|---|
| Doing Business As | TOTEM LAKE SMILES |
| Entity Type | Organization |
| Authorized Contact | PAMELA N SURSELY Dentist 425-985-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60122941) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2010-05-02 |