| NPI | 1538351085 |
|---|---|
| Other Name | HOLLY PARK MEICAL AND DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PEGGY PHUNG Assistant Finance Manager 206-788-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |