| NPI | 1609321231 |
|---|---|
| Other Name | PIKE PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KENT SHERMAN DE VIGNE Dentist /Owner 206-625-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 7034) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |