| NPI | 1790900231 |
|---|---|
| Other Name | FERNYHOUGH PERIODONTICS PREMIER PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | WILL S FERNYHOUGH President 425-455-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: WA DE00005930) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |