NPI | 1144694787 |
---|---|
Doing Business As | W.S.P.D.I.C |
Entity Type | Organization |
Authorized Contact | KAREN LEONA HANSON Office Manager 509-309-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |