| NPI | 1417260134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J MAKI Office Manager 206-463-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 00004729) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |