| NPI | 1841444981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J CARLSON Owner 253-475-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5397) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |