| NPI | 1417053638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BERWIND Dentist President 360-423-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4319) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |