| NPI | 1528111515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LEE RODRIGUEZ Member Manager 360-733-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA 602560961) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2008-09-22 |