| NPI | 1568815330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CHEN Owner 425-271-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: WA DE00007986) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: WA 7759) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |