| NPI | 1235527565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN TAYLOR Dentist & Corp. President 360-650-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00008941) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |