| NPI | 1730282054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON B. ROSENGREN President 253-859-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00004446) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |