| NPI | 1508319435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM WAIND Dentist/Owner 206-467-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9275) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |