| NPI | 1013360080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL YETTER Owner 425-347-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |