| NPI | 1891128468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN ZOE CRAWFORD Owner 206-790-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60102882) |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2013-08-18 |