| NPI | 1366898231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLARK General Manager 425-747-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 603581019) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |