| 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 |