| NPI | 1619211281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEI GUO President 425-301-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA DE60137855) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2021-03-08 |