Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN00000191 | WA |
NPI | 1790976256 |
---|---|
Provider Name | Xinli Zhong |
First Address | Seattle, WA 98144 |
Second Address | Seattle, WA 98144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |