| NPI | 1316006752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M MERRILL Partner 509-886-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 6296) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 9025) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |