| NPI | 1023376225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA GUEVARRA SANTOS Denturist 206-661-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 603197556) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |