| NPI | 1376950774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY L ULMER Owner 509-468-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA de 00009875) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |