| NPI | 1871806695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN K FARAH Dentaist/Owner 360-335-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7550) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |