| NPI | 1831563253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD TAK-CHUEN JUE Manager 425-776-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE60074957) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-08-06 |