| NPI | 1881047298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M ROSSI Owner Sole Proprietor 425-868-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005315) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |