| NPI | 1801299227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60494645) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |