| NPI | 1003968074 |
|---|---|
| Doing Business As | UW DENTISTS - PERIO CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT RUSSELL Manager, Patient Accounts Office 206-616-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE00009326) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |