| NPI | 1598118523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET PUHEK Office Manager 509-927-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00006246) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |