| NPI | 1770690638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN M. DRY Owner 425-821-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00035648) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |