| NPI | 1962953521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GALVEZ Director Of Clinic Operations / Hr 253-830-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60677357) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |