| NPI | 1083327134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA HAMMOUDA Dentist 206-679-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |