| NPI | 1427324037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SPAIN Orthodontist 206-349-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60220488) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-09-21 |