| NPI | 1316191216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDOLHOSSEIN SHAHRASBI Owner 253-838-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE9000) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |