| NPI | 1104079136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PETER MESSINGER President 360-834-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5597) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |