| NPI | 1134374804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W ROBISON President 425-776-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 06020) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2008-11-23 |