| NPI | 1629485552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE IRENE CHRISTIAN Owner/Dentist 206-770-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010056) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-11-03 |