| NPI | 1295925626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART A T TRIPPEL Acting Vice President For Administr 206-546-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |