| NPI | 1972956423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES F NEFF Dentist/Owner 425-252-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5298) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA 4260) |
| 124Q00000X Dental Hygienist (Licence: WA 4909) | |
| 124Q00000X Dental Hygienist (Licence: WA 4741) | |
| 126800000X Dental Assistant (Licence: WA 60055086) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |