| NPI | 1205011483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRINTON FORD Owner 425-277-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA WA10034) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |