| NPI | 1235509639 |
|---|---|
| Doing Business As | MAPLE STREET FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE OLMSTEAD Owner/Dentist 509-891-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008465) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |