| NPI | 1649409186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS HERNANDEZ CEO 509-422-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 600-625-131-3) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-01-19 |