| NPI | 1326491895 |
|---|---|
| Doing Business As | TWO RIVERS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VAUGHN WALLACE TEUSCHER Owner 360-256-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00006502) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |