| NPI | 1144375247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROEMER INGLE Owner 425-226-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4358) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-07-28 |