| NPI | 1528153343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS A NICHOLSON President/ Owner 206-722-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 6379) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-04-24 |