NPI | 1700205978 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUWEN LU Dentist 206-850-1807 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010683) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |