| NPI | 1992183594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRBOD ROWSHAN Owner 425-454-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 60243710) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2018-05-01 |