NPI | 1366624629 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA ADRIENNE NICOARA Owner/Periodontist 425-374-5380 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA 10770) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |