NPI | 1093965600 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMERON L. FETTIG Business Manager 360-883-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000393) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2008-09-19 |