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 |