| NPI | 1578999306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN H ALLGAIR Dental Director/Manager 206-419-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AK D997) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2014-08-20 |