| NPI | 1508246927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G MYASKOVSKY Member 425-488-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00007078) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |