| NPI | 1033665880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELYNA HOBBS Office Coordinator 509-928-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 8746) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |