| NPI | 1700148152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ROBERT FISHER Vice President Finance 253-432-4795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4923) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |