| NPI | 1588017636 |
|---|---|
| Other Name | TRI-CITIES PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | HOWARD KIRBY SKAVDAHL Owner 509-783-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 5324) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |