| NPI | 1588951412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE S HAWKEN Business Manager 253-981-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5267) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |