| NPI | 1447613799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOOSH BEHSHID Owner 425-558-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00009985) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |