| NPI | 1588017198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ARTHUR HARRISON President 360-653-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 00005577) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |