| NPI | 1295959039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAO Office Administrator 425-822-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 10151) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-11-17 |