| NPI | 1457806085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L RHOADS Office Admin 509-747-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 5617) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |