| NPI | 1548129703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY GEBHARD Practice Manager 425-427-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-03-20 |