| NPI | 1235237769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J MILAN Dentist 253-272-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00003390) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |