| NPI | 1245783471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SZABO General Dentist 360-805-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60318987) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |