| NPI | 1649695545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI JONES Bookkeeper 206-542-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 00005843) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |