| NPI | 1548716830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J RISTUBEN Owner/Dentist 425-888-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00006388) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |