| NPI | 1871046151 |
|---|---|
| Other Name | EASTSIDE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | VIKRAM LIKHARI Owner 425-643-5412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010984) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |