| NPI | 1952788150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARALSON Owner/Md, Dmd 206-624-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE60295571) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |