| NPI | 1043752827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE M HERRON Periodontist/Owner 206-682-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA 9735) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |