| NPI | 1114324274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL MULLIKEN Owner 425-481-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 5460) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-12-27 |