NPI | 1841744950 |
---|---|
Entity Type | Organization |
Authorized Contact | TIINA OVIIR Owner / Dds 425-320-4281 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: WA DE00010067) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2016-08-05 |