| NPI | 1497967517 |
|---|---|
| Doing Business As | MYDENTIST |
| Entity Type | Organization |
| Authorized Contact | STEPHEN C CALL Dentist Owner 509-464-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00008830) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-08-01 |