| NPI | 1427404268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG HO LEE Owner Dentist 360-754-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60172617) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-03-20 |