| NPI | 1013087840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CARLOS MORALES President Dentist 425-432-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00007645) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |