| NPI | 1821159047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L MILLER Owner 253-848-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 6837) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |