| NPI | 1467690990 |
|---|---|
| Former Legal Business Name | FISHER DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SANDRA LOREEN ARPS Business Administrator 360-876-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 00006120) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE 60041592) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |