| NPI | 1649631342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELIND NAM Dentist/ Orthodontist 425-890-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60139654) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |