| NPI | 1669768529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HENRY COOK Owner 253-627-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 3793) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |