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 |