| NPI | 1396915500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DENICE BUTLER Owner/Pediatric Dentist 360-891-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010355) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |