| NPI | 1518413327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J MADSON Owner/Dentist 425-259-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60235703) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |