| NPI | 1508423682 |
|---|---|
| Other Name | TOTEM LAKE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLARK Office Manager 425-820-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-06-11 |