| NPI | 1841520335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEW DEAN Owner, Doctor 253-272-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD 00013739) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |