| NPI | 1609229608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MCINTYRE Office Administrator 509-522-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 8447) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |