| NPI | 1881619385 | 
|---|---|
| Other Name | CORPORATION | 
| Entity Type | Organization | 
| Authorized Contact | ELAINE L STONE Office Manager 206-784-5006 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00002430) | 
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2008-10-20 |