| NPI | 1033355581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLAM CRIS SIMMONS Owner 425-637-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6392) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |