| NPI | 1568807899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINFIELD S RUMSEY Owner 360-692-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00011189) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |