NPI | 1578644100 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA L HORN Office Manager 425-438-8584 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8144) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-06-12 |