| NPI | 1295947463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W RIETZ Owner 509-522-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006530) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |