| NPI | 1356799779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELEN ALVAREZ Office Manager 509-457-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE 60169589) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: WA DE 60559041) |
| 1223G0001X Dentist General Practice (Licence: WA DE 60512243) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |