| NPI | 1306214986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MOLEN President 253-939-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00008621) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |