NPI | 1144546102 |
---|---|
Doing Business As | PULLMAN SMILES |
Entity Type | Organization |
Authorized Contact | JONATHAN MARVIN FAIRBANKS Dentist 509-332-7463 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008587) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2012-03-16 |