| NPI | 1003971870 |
|---|---|
| Former Legal Business Name | ERIC W RANTA & DAVID S RUSSELL INC PS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C HANSEN Member/Owner 206-524-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-10-28 |