| NPI | 1467526376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH T. VU General Dentist 360-380-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 6754) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: WA 6731) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |