| NPI | 1306170311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE M BEFFA Owner 206-242-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60098409) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 4050) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-06-02 |