| NPI | 1104373513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHEN Dentist/Owner 425-947-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA WA00008887) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |