| NPI | 1477508794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT HAGHIGHI Owner 360-636-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7443) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-06-13 |