| NPI | 1518110014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALBERT FLEEGE Corporation President 206-282-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 3930) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-07-24 |