| NPI | 1760542757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE B TIMMERMAN President 206-241-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 8229) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |