| NPI | 1023338522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO EZEQUIEL TAINA President 425-433-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009306) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-04-15 |