| NPI | 1508235912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA GROZA Owner 509-481-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010673) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |