| NPI | 1538097837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN VOLLAND Partner, Clinical Director 206-941-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 122400000X Denturist | |
| 124Q00000X Dental Hygienist | |
| 126900000X Dental Laboratory Technician | |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-08 |