| NPI | 1083951545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ROUNDS President/Owner 360-491-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60030651) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |