| NPI | 1063967537 |
|---|---|
| Doing Business As | DAN KAYLOR |
| Entity Type | Organization |
| Authorized Contact | DAN WESLEY KAYLOR Owner/Dentist 509-525-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA de00005718) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |