| NPI | 1265970446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI RENE MANN Owner 206-484-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60658594) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |