| NPI | 1538392667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNSUN LEW President 360-696-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE 60028784) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-11-04 |