| NPI | 1720449804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAUNDA COX Business Office Manager 425-820-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6181) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |