| NPI | 1982821013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA A GREY Partner 425-485-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |