| NPI | 1619027182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL KNIGHT President 206-842-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 6898) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-05-12 |