| NPI | 1407176993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENARD GOBIN DEOCHAND Denturist 360-906-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000394) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA WA00008442) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |