| NPI | 1407191265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY DHANKHAR Dentist 425-392-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009509) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00009838) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |