| NPI | 1679750103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN JAY :LIBMAN Dentist 425-453-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE00006524) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |