| NPI | 1366876955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SMITH President 206-650-6983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008216) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |