NPI | 1689111999 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMMI HANSEN Office Manager 206-525-6636 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60231280) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |