| NPI | 1518846252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR HUMBERTO REYNA-BLANCO Orthodontist / CEO 509-699-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |