| NPI | 1639391790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLAN J GESSFORD President 360-834-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00003189) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |