| NPI | 1982389078 |
|---|---|
| Doing Business As | BALLARD NEIGHBORHOOD DENTIST |
| Doing Business As | EMMALEIGH GORDON, DDS, PLLC |
| Entity Type | Organization |
| Authorized Contact | EMMALEIGH GORDON Dentist 206-915-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |