| NPI | 1194005116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE TERESE WERREMEYER Dentist, Business Owner 360-752-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011137) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |