| NPI | 1407339849 |
|---|---|
| Doing Business As | MYDENTIST |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HARKER Operator 509-464-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-09-17 |