| NPI | 1043665375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HUANG Dentist/Owner 360-213-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 60393621) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |