| NPI | 1881974285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJED MOAWAD Owner 425-802-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE8207) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE8207) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |