| NPI | 1144537275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT RIOLO Owner 206-467-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60069695) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |