| NPI | 1174807556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL DINO DIMAYUDA Owner 425-775-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010388) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-06 |