| NPI | 1811171275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E HELDRIDGE Partner/President 425-744-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |