| NPI | 1053636233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY P. MCPHEE Owner/Dentist 253-565-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005600) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |