| NPI | 1558714691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN L COTTON President 509-926-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010968) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |