| NPI | 1063666832 |
|---|---|
| Doing Business As | GREGG DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GARY THOMAS GREGG President 360-750-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 600 477 520) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |