| NPI | 1235683194 |
|---|---|
| Former Legal Business Name | PUGET SOUND CHRISTIAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LARRY RAFFERTY Director Of Finance 206-363-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-08-01 |