| NPI | 1164689378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LORNE DIXON Dentist President Owner 360-479-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 4334) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |