| NPI | 1487945275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LINDEMAN Insurance Processor 360-425-8210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 7650) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |