| NPI | 1740889849 |
|---|---|
| Doing Business As | LAKE WASHINGTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALALEH MOAZAMI Owner Dentist 971-271-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |