| NPI | 1093166563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA HABER FLORENCIO Dmd 206-375-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60659486) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |