| NPI | 1972816460 |
|---|---|
| Doing Business As | BELLEVUE PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NOLAN LOUIS GERLACH Owner 206-854-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60130018) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |