| NPI | 1609995927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD THOMAS WALTERS President 360-752-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7450) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |