| NPI | 1245404367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN P DEL ROSARIO Owner/President 425-739-9093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00009384) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |