| NPI | 1295926954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ANDREW OCONNOR Partner 509-966-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 4241) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 10492) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-02-14 |