| NPI | 1326358995 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK A. SUNDBERG Member 253-472-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00010504) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |