| NPI | 1861819641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA R COCHRAN Owner 206-755-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE 601 592 61) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |