| NPI | 1477798544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL S VALENTINE President 253-475-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 7290) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |