| NPI | 1548640071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TAYLOR Owner/Dentist 425-776-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60402643) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-07-02 |