| NPI | 1346822947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANILA GODARA President 206-852-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-01-27 |