| NPI | 1326211525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L CARLSON Owner/President 206-325-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA WA 1002) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |