| NPI | 1427102789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA HILO SUBARAN Owner 206-363-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122400000X Denturist |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |