| NPI | 1003214305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAOLY BENSON Orthodontist 253-985-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-272) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2015-03-20 |