| NPI | 1619434552 |
|---|---|
| Doing Business As | SAGEBRUSH DENTAL LLC |
| Doing Business As | SAGEBRUSH DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICH JURGES Dentist 509-436-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-05-28 |