| NPI | 1669750063 |
|---|---|
| Doing Business As | OVERLAKE FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDY T HSU Dentist 425-641-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010544) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |