| NPI | 1649392499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H CROWLEY Owner Dentist 360-734-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5821) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-03-07 |