| NPI | 1720344807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CAMPBELL Manager 206-362-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006335) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |