| NPI | 1598846107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STEWART FREIDMAN President 206-244-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: WA 4617) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |