NPI | 1770690323 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN THOMAS LINVOG President 425-252-0311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 4367) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |