| NPI | 1366640633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE H DENTLER Owner 509-465-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD000141) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-11-14 |