| NPI | 1487805305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL R OSTHELLER Manager 360-874-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE8595) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |