| NPI | 1245460088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M PELLEGRINI President 425-374-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE600048914) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |