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 |