| NPI | 1801769385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILA J MARQUEZ Regional Manager 206-549-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |