| NPI | 1891081212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HEPWORTH President 206-842-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-07-22 |