| NPI | 1508019068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE ROBINSON Dentist/Owner 360-479-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 4791) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |