NPI | 1306079538 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAMS MCNEILL Corporate Officer President 206-232-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 3254-WA) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |