| NPI | 1013109115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT B CANEPA Dentist 360-514-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00007372) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-06-30 |