| NPI | 1104329994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M OKAFOR Managing Member 206-613-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60567260) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |