NPI | 1265793129 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR CARNELL Dentist 509-326-8120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00002797) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00002797) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2012-06-06 |