| NPI | 1265567184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P MATHEWS Dentist President 253-752-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: WA 4439) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |