| NPI | 1073775078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANNE CRUMP Office Manager 509-434-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4161) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |