| NPI | 1013464635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL WASHUT Dentist/Owner 509-697-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5920) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |