| NPI | 1477077667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M HARRIS Business Owner/Sole Member 509-948-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DH00006889) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |