| NPI | 1720246762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMIDREZA BARAKHSHAN Dentist/Owner 360-373-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009257) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-12-26 |