| NPI | 1528288008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E HARMON President 253-752-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE00003193) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |