| NPI | 1083160824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYNN FOGLIA Dentist 509-928-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9157) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |