| NPI | 1215447677 |
|---|---|
| Doing Business As | DENTIST |
| Entity Type | Organization |
| Authorized Contact | IRINA ZAYATS Manager 425-741-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010297) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-06-16 |