| NPI | 1518038017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J EGGERT Owner, Oral Surgeon 425-882-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00007583) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-12 |