| NPI | 1902355225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LUND Doctor/Owner 360-568-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 00009548) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |