NPI | 1598839748 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROBERTS WELLER President 253-565-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00009898) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |