| NPI | 1992926174 |
|---|---|
| Doing Business As | NORTHWEST DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | VALLAN T CHARRON President 253-383-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |