| NPI | 1376996322 | 
|---|---|
| Doing Business As | SUMMIT FAMILY & COSMETIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | ANIBAL LOPEZ Dentist 509-466-1200  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60091762)  | 
| Enumeration Date | 2016-07-14 | 
| Last Update Date | 2016-07-14 |