| NPI | 1891209631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CHEN President 425-562-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00008825) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |