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 |