| NPI | 1871837732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANNA SIMONSON Office Manager 206-293-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 00010636) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |