| NPI | 1386202539 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST PERIODONTICS |
| Doing Business As | PACIFIC NORTHWEST ORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | HYUN SONG Dentist 206-575-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2025-10-09 |