| NPI | 1003014879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LLOYD ATKINSON President 360-856-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8472) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-11-30 |