| NPI | 1568799062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS ERICKSON O PT Ometrist/Owner 425-746-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OD00003260) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |