| NPI | 1407152952 |
|---|---|
| Doing Business As | OVERLAKE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LEMERY Business Manager 425-641-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 603066082) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |