| NPI | 1174617724 |
|---|---|
| Former Legal Business Name | ARDON L. OVERBY, DMD AND DAVID S. MEHLHAFF, DMD |
| Entity Type | Organization |
| Authorized Contact | DAVID AKIO KOSA Treasurer 360-699-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |