| NPI | 1588023212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY HENTZ Dental Hygienist/Admin Assistant 425-688-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00005176) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |