| NPI | 1366862708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMSHID FAGHIH Owner 425-644-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: WA 60210215) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: WA 8602) |
| 1223P0300X Dentist Periodontics (Licence: WA 8794) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |