| NPI | 1023487717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE WELCH Office Manager 206-633-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: WA 6843) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |