| NPI | 1447339858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA A. LOVING Member 425-392-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE7471) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2009-11-24 |