| NPI | 1932927936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SARDAR AL KARADAGHI Owner/Provider 425-877-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-11-09 |