| NPI | 1568883213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENJAMIN GILBREATH Dentist 206-999-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 11087) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |