| NPI | 1275785719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALLEN FLAKE Owner/ Sole Proprietor 425-338-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 6701) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |