| NPI | 1538283775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A HANSON President 425-285-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 3943) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |