| NPI | 1689718991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND BRADLEY DAWSON President 253-631-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4863) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |