| NPI | 1629372925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DOUGLAS BECK Manager 425-368-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE 004901) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |