| NPI | 1255545802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP E HARRISON President 509-663-4709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00006210) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |