| NPI | 1306203427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBRE ANN KRAGOR Orthodontist 206-854-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014935) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014936) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |