| NPI | 1518272418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BERNARD FISHER Member 509-332-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60146968) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |