| NPI | 1851630685 |
|---|---|
| Other Name | EDMONDS PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRENDA L HECKATHORN Office Manager 425-776-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA 00006629) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |