| NPI | 1356768774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KLAIBER Office Manager 425-453-1010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE60280931) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |