NPI | 1316492671 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL J ORSI Dentist/Owner 509-456-8676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 6172) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |