| NPI | 1033412515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SCHUHOW Office Manager 360-733-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 00009998) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |