| NPI | 1538603808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC TRAN Office Manager 425-557-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA FM0627109) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010356) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |