| NPI | 1871048199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE SATA Owner 206-522-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00006389) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |