| NPI | 1295959146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER B BROWN Owner 509-735-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00003667) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |