| NPI | 1679918007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE HONG Owner/President 206-243-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA 8227) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |