| NPI | 1720311905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PERRY TOMALA Endodontist 206-402-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00010774) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2011-02-09 |