| NPI | 1134412257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL BENEDICT SKERBECK Owner, Dentist 360-452-3808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DL6393) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |