NPI | 1972918399 |
---|---|
Doing Business As | TACOMA DENTAL AND IMPLANT CENTER PS |
Entity Type | Organization |
Authorized Contact | YURIY BAGDASAROV Owner 253-472-0152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00008641) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |