| NPI | 1518310655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARO J CROW Business Manager 509-326-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 7654) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |