| NPI | 1639395122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J TEEL Dentist 206-363-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006440) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |