NPI | 1053866947 |
---|---|
Doing Business As | TIMBERLAKE ALEINIKOFF & SHAW |
Entity Type | Organization |
Authorized Contact | SCOTT GALLAGHER SHAW Dentist/Owner 206-523-2025 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 60035235) |
Enumeration Date | 2016-08-20 |
Last Update Date | 2016-08-20 |