| NPI | 1063631117 |
|---|---|
| Doing Business As | CENTRALIA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | FRANK A. LASLEY Member 360-736-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-02-29 |