| NPI | 1568793271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVA MERCHANT Director 425-246-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010876) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-20 |