| NPI | 1669842332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE TUNG Pediatric Dentist 206-853-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60041548) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |