| NPI | 1407291537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANDERSEN Dentist/Practice Owner 425-453-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60014812) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |