NPI | 1356552970 |
---|---|
Former Legal Business Name | CHENEY & WALTER, PS |
Entity Type | Organization |
Authorized Contact | PHILLIP M CHEN President 360-676-8920 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 601276100) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2012-07-02 |