| NPI | 1144718453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN EIMER Billing Specialist 425-747-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 60772626) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |