| NPI | 1093147068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LIU Office Manager 206-323-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |