| NPI | 1023520426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DOUGLAS DINGER Owner Dentist 360-836-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D9812) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-05-11 |