NPI | 1487914487 |
---|---|
Doing Business As | NEW32 AESTHETIC AND FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELIZABETH HEADLEY JACOBSEN General Dentist 206-381-0732 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE40021232) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60035233) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2012-05-23 |