| NPI | 1376878769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GONZALEZ CEO 509-494-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QS1000X Clinic/Center Student Health | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2023-10-11 |