| NPI | 1235447384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY B D PAK Owner 253-845-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008583) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |