| NPI | 1437594488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HUNTER Business Manager 206-241-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00005907) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60099970) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |