| NPI | 1548713126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ANDREW SMITS Dentist / Owner 206-935-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 60168049) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |