| NPI | 1326172396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W RALPH President 509-892-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00008283) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |