| NPI | 1952637134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET CARLSON Office Manager 206-575-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6306) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA 10774) |
| 1223G0001X Dentist, General Practice (Licence: WA 58496) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |