| NPI | 1982154233 |
|---|---|
| Doing Business As | PUYALLUP FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARILYN HENRY General Manager 253-770-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00011049) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |