| NPI | 1194379776 |
|---|---|
| Doing Business As | MID-COLUMBIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA COSTI Regional Manager 509-591-0551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |