| NPI | 1013141498 |
|---|---|
| Doing Business As | IDEAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROWE President 509-737-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010887 WA) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |