| NPI | 1154302495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT T LEE President 206-328-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00004764) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-28 |