| NPI | 1356640072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARNJEET SAHOTA President 253-335-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 0026310) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 0026058) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |