| NPI | 1336583269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D PARKER Owner 509-962-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60191920) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |