| NPI | 1548309925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R ASHLOCK Dentist 509-327-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 025103DE00004470) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |