| NPI | 1851457428 |
|---|---|
| Doing Business As | GREENLAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L CHANG President 206-547-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE8374) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-11-21 |