NPI | 1265642375 |
---|---|
Former Legal Business Name | DARWIN W ENGEN DDS PS |
Entity Type | Organization |
Authorized Contact | DAVID W ENGEN Owner 509-326-4445 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA 8681) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WA 9909) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 8681) | |
122300000X Dentist (Licence: WA 7164) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2015-03-19 |