| NPI | 1073748224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D SCHMIDT Orthodontist 360-738-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 10854) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |