| NPI | 1619333853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN T LIN President/Owner 425-271-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE00009812) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |