| NPI | 1083930986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES R NAVARRO Supervisor 206-431-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6103) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |