| NPI | 1043432198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS L TAYLOR President 425-823-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00003239) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |