NPI | 1528310638 |
---|---|
Entity Type | Organization |
Authorized Contact | KEN MICHAEL AKIMOTO President 206-919-8421 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE00009198) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2014-10-30 |