| NPI | 1053764100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN SCHNEIDER Dentist 360-733-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 9864) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |