| NPI | 1689027575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT M RAFIE President 425-449-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE00011101) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |