| NPI | 1548195613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GWEN SCHWEIGERT Administrative Manager 253-926-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |