| NPI | 1043068232 |
|---|---|
| Doing Business As | NORTHWEST CENTER FOR ORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WONG Owner 425-223-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-21 |