| NPI | 1255761599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS SALAZAR President 425-226-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010047) |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2013-11-23 |