| NPI | 1760728331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CALVO Owner 425-392-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009044) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2012-12-29 |