NPI | 1376932749 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE CLARK COMBS Owner 509-624-1139 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-01-22 |