| NPI | 1295817450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MAX BURRELL President 253-564-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005647) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |