| NPI | 1659563781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAM LEMME Member 360-675-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011040) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2013-01-30 |