| NPI | 1336761097 |
|---|---|
| Other Name | DENTAL HOME EB5 VII |
| Entity Type | Organization |
| Authorized Contact | FRANK GONG Owner 206-371-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |