| NPI | 1083753305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GHOSN GHOSN Dentist 253-845-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 003371) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |