| NPI | 1790096618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA LAM GERSHONY Owner/President 425-503-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE9307) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |