| NPI | 1558631242 |
|---|---|
| Doing Business As | MAGNUSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHANNON MAGNUSON President 509-443-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 7628) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |