| NPI | 1164234845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D ERICKSON Owner 425-330-9959 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |