| NPI | 1790839827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN PLANCICH Dentist 253-272-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6382) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |