| NPI | 1568917888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS HANSON Dentist/Owner 360-695-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6279) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |