| NPI | 1023253424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DAVID NORDBERG President 253-535-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5301) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2008-12-14 |