| NPI | 1235481052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE W GLEDHILL President/Owner 509-783-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011069) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2013-10-03 |