| NPI | 1083726590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON H HALL President 425-821-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: 5171) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |