| NPI | 1578893590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA TERUMI GOLDSBY Dentist/President 360-748-6624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009040) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |