| NPI | 1417784315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SARDAR AL KARADAGHI Owner/Provider 360-389-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-12-26 |