| NPI | 1265987663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R CRAVEN Dentist/Owner 509-747-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010773) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |