| NPI | 1427367788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H HOHL President 206-522-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: WA DE 00004289) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |