| NPI | 1366688822 |
|---|---|
| Other Name | TUMWATER DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | EDWARD A FLETCHER President 360-786-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 4710) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |