| 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 |