| NPI | 1508142811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K BURNHAM Owner/Periodontist 509-886-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00009046) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |