| NPI | 1053409037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK FELIX VEDELAGO Pres 509-326-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 2897) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-07-16 |