NPI | 1326354226 |
---|---|
Doing Business As | ALDERWOOD PROGRESSIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | KYLE TANAKA President 425-776-2126 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010994) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2012-10-16 |