| NPI | 1538120720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C HOUPT Owner/Dentist 360-692-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7367) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |