| NPI | 1982092805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NIKOLAEVA MANCHESTER Dentist/Owner 206-802-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60475234) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |