| NPI | 1427621838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENG ZHOU Owner 206-302-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-06-06 |