| NPI | 1215349568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE A COLEMAN Office Manager 206-363-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00006861) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |