| NPI | 1467691378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK Y LIEU Member 253-845-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008859) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |