| NPI | 1336488907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TANCHOCO ALCANTARA Office Manager 206-683-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DN00000046) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |