| NPI | 1760847347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRA V ALATSIS President 253-851-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60523093) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |