| NPI | 1851485338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS WOODSIDE Partner 206-323-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 00008202) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |