| NPI | 1225283757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LYNN HECKATHORN Office Manager 425-776-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE00006629) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |