NPI | 1528152683 |
---|---|
Entity Type | Organization |
Authorized Contact | RADU V WOLF CEO/President 425-778-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8174) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |