NPI | 1255746558 |
---|---|
Doing Business As | DOWNRIVER SMILES |
Entity Type | Organization |
Authorized Contact | CRAIG B SIMMONS Dentist/Owner 509-326-8039 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA 00009553) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |