| NPI | 1215372313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT KOSHI KUSAKABE President 206-660-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 603288637) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |