| NPI | 1629491766 |
|---|---|
| Doing Business As | WALLA WALLA PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STACEY RAE KUTSCH Owner Pediatric Dentist 509-378-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010428) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010428) |
| Enumeration Date | 2014-01-25 |
| Last Update Date | 2023-03-07 |