| NPI | 1114229721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH SHEELER Denturist 360-681-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: WA DN00000232) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |