| NPI | 1700283546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PLOTKIN SAEPOFF Dentist 206-799-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 00007494) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |