| NPI | 1215251160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J BATES Owner 253-584-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011007) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00006887) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |