| NPI | 1124779012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA MUGUERZA QUIJANO Orthodontist 206-913-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |