| NPI | 1487933362 |
|---|---|
| Doing Business As | 2200 WESTLAKE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JULIA FREDERICKS Dentist 206-402-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60116120) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |