| NPI | 1093945131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LINSENMAYER Dentist 206-920-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AK 168) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 7075) |
| 122300000X Dentist (Licence: AK 1287) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2011-10-19 |