| NPI | 1942533351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA COLLECCHI Office Manager 253-939-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7439) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 10882) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |