| NPI | 1720395684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK T MERKEL Dentist 425-314-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60168156) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |