| NPI | 1326121443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE C TOILLION Owner 509-624-1182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 4735) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-25 |