| NPI | 1417554932 |
|---|---|
| Doing Business As | OMNI DENTAL |
| Entity Type | Organization |
| Authorized Contact | BARBARA KISS Office Manager 206-258-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |