| NPI | 1982052874 |
|---|---|
| Doing Business As | NEIGHBORCARE HEALTH AT PACIFIC TOWER DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON Chief Executive Officer 206-461-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600138418) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 600138418) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2018-08-20 |