| NPI | 1720154404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOARIK GALIA LEORARD Associate 206-621-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-08-14 |