| 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 |