| NPI | 1427172691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. HUEY President 360-692-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: WA 7537) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: WA 7871) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-10-01 |