| NPI | 1154574077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY NORMAN KALDESTAD President 253-572-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE 00006323) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |