NPI | 1003284134 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY TIMOTHY BEAN Owner 425-214-3960 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: WA GA60587955) |
Enumeration Date | 2015-09-06 |
Last Update Date | 2015-09-06 |