| NPI | 1174674915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLY FISHER Owner, Dentist 425-271-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7067) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |