| NPI | 1982740874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MERRITT PAVALUNAS President 253-833-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 3846) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |