| NPI | 1104996214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELEDATH GOPINATH President 425-869-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 29368) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-03-01 |