| NPI | 1043521438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREEN Partner 206-523-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005829) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |