| NPI | 1598062119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LONG TRUONG Managing Partner 509-325-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60099000) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2016-09-29 |