| NPI | 1992871016 |
|---|---|
| Doing Business As | NORTHSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | M ERIC MCRORY President 360-676-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-06-24 |