| NPI | 1235393166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D HOLLAR Dentist/Owner 360-687-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4353) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |