| NPI | 1629445929 |
|---|---|
| Doing Business As | NORTHWEST ORAL HEALTH OUTREACH |
| Entity Type | Organization |
| Authorized Contact | BRENDEN J DAVIS CEO 509-607-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 603513887) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |