| NPI | 1861565079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY TIEN Dentist Owner 425-745-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9339) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 9296) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |