| NPI | 1033480215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT FAINBERG Owner/Dentist 206-331-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN10134) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |