| NPI | 1336519982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOOD Dentist 509-928-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 5437) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |