| NPI | 1093302325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUJA AGARWAL Dds 425-247-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2023-06-28 |