| NPI | 1043332745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOWELL ASH Owner 360-736-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 8192) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-09-07 |