| NPI | 1992685531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAEGER President 206-818-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |