| NPI | 1669640652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT Y CHEN Secretary 253-582-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 00010937) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: WA 00010942) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |