| NPI | 1306246202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK KALLANDER President 360-672-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE000005717) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |