| NPI | 1972717825 |
|---|---|
| Other Name | DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTI DUPPENTHALER Office Coordinator 360-752-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |