| NPI | 1073203485 |
|---|---|
| Doing Business As | KO DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEANA WARD Office Manager 206-624-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |