BONNEY LAKE DENTAL LLC is a dental clinic center in Bonney Lake, WA. BONNEY LAKE DENTAL LLC NPI is 1073088423. The provider is registered as an organization entity type.
The provider's business location address is:
19410 STATE ROUTE 410 E
BONNEY LAKE, WA
ZIP 98391-470
Phone: (253) 780-7003
The provider's authorized official is Travis Probst .
The authorized official title is Owner /dentist and has the following contact phone number (719) 352-5773.
The enumeration date for this NPI number is 10/11/2018 and was last updated on 10/11/2018.