| NPI | 1023569308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANLEY CAMPBELL Doctor/Dentist 253-852-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 601044129) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |