| NPI | 1689919458 |
|---|---|
| Doing Business As | LAKE WASHINGTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | YONG PARK President 425-636-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00011037) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |