| NPI | 1366826521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D FRISKE Office Manager 253-520-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60511889) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |