| NPI | 1033326400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J LUNDQUIST Dentist 360-256-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7609) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |