| NPI | 1104940733 |
|---|---|
| Other Name | HOLLY PARK MEDICAL & DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PEGGY PHUNG Assistant Finance Manager 206-788-3605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 600436519) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-12-20 |