| NPI | 1972838696 |
|---|---|
| Doing Business As | CITY PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CAM TU VO Dentist 360-659-7983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE0584) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-20 |