| NPI | 1619037157 |
|---|---|
| Doing Business As | MERCER ISLAND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARIO D CHORAK Orthodontist Owner 425-235-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00008957) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-08-08 |