| NPI | 1720445737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G LAMARCHE Owner 425-357-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00004762) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |