| NPI | 1972840718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNE PATRICE COLUCCIO General Dentist 425-823-4100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010054) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |