| NPI | 1275986218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ROTHBAUER General Dentist 253-582-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60663020) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |