| NPI | 1013153469 |
|---|---|
| Doing Business As | CLEARWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN RICHARD MATHESON CEO 509-783-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00004645) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00008483) |
| 1223G0001X Dentist, General Practice (Licence: WA DE00010578) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2014-07-11 |