| NPI | 1568904530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GRANT Office Manager 206-935-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60188633) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |