| NPI | 1053657049 |
|---|---|
| Doing Business As | DENTAL CLINIQUE |
| Entity Type | Organization |
| Authorized Contact | BRIDGET REILLY SHEAHAN Member 509-536-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 00010579) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-08-26 |