NPI | 1154479103 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY E BARTOLO Deputy Director 206-788-3224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2007-01-08 |
Last Update Date | 2011-01-11 |