| NPI | 1124347976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BRUN Owner 206-453-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010828) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |