| NPI | 1487006318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SON THANH NGUYEN President 425-774-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE8542) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |