| NPI | 1215485792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN FULLER Finacial Coordinator 206-285-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00009047) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |