| NPI | 1316496482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA B MCKINLEY President 509-928-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00007422) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |