| NPI | 1386949949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON P KELLY Dentist/Partner 509-663-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 7070WA) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |