| NPI | 1023113990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN R MCDEVITT President 509-453-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 00007747) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-08-12 |