| NPI | 1467605063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM MITCHELL Owner/Dentist 425-454-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE 00004380) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |