| NPI | 1043321441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN J XU Member 425-670-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00008527) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |