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 |