| NPI | 1285944991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL JEANETTE MAHONEY Dentist, Owner 425-339-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE60011791) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |