NPI | 1518080332 |
---|---|
Entity Type | Organization |
Authorized Contact | BOB HAROLD WILLIAMS President 253-272-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4701) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2020-08-22 |