| NPI | 1588868665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARSHAL STANLEY Owner 206-542-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5687) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |