| NPI | 1427379460 |
|---|---|
| Doing Business As | LEWIS AND CLARK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AARON WILSON CEO 509-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-08-21 |