| NPI | 1679868657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS AGATHA LEE Dentist 425-742-9609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60080602) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2012-01-01 |