| NPI | 1275673246 |
|---|---|
| Doing Business As | UNIVERSITY OF WASHING - PEDO |
| Entity Type | Organization |
| Authorized Contact | ROBERT O'NEAL Associate Dean, Clinical Services 206-616-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00008754) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |