| NPI | 1891948840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TSUYOSHI KUSAKABE President 206-324-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 2462) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 6050) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |