| NPI | 1437476033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R OLMSTEAD Doctor/Owner 509-465-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008465) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |