| NPI | 1952550758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA V RAZUMOVICH Officer 206-542-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN60034321) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE000010385) |
| 1223G0001X Dentist, General Practice (Licence: WA DE00009387) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |