NPI | 1336695469 |
---|---|
Entity Type | Organization |
Authorized Contact | JOON W KAE Dentist/Owner 206-708-1845 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9075) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2016-08-29 |