| NPI | 1124234216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK V WALKER Managing Member 253-852-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 251-03-5631) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |