| NPI | 1093028706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG-A ELIZABETH RO-LEE Owner 425-347-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010385) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |