| NPI | 1538570775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE F REEVES Dentist 360-424-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 60232758) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2015-04-28 |