| NPI | 1821327131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR TSUCHIKAWA Owner 206-852-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60035945) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |