| NPI | 1538595087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR RAMESH PATEL Dentist 253-474-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60398450) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |