| NPI | 1265927644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN BEMIS Office Manager 425-385-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 6243) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |