| NPI | 1407172406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER NAKANISHI Co Owner 425-883-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 603-005-065) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-16 |