| NPI | 1831349968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE THOMAS TOWNSEN Owner 425-774-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00003742) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |