| NPI | 1982057238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEN KIM Office Manager 253-277-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE60163079) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE60653273) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |