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 |