| NPI | 1447475934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN B NORVOLD Dentist 206-725-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00003720) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |