| NPI | 1083714877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM MCNEILL Owner 206-232-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 3254) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-11-04 |