| NPI | 1104372929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE DAINING Dentist 425-361-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60371408) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |