| NPI | 1285847848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RAYMOND Office Manager 425-747-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00008224) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |