| NPI | 1659518843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL ANDELIN President 509-547-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 00009373) |
| Enumeration Date | 2009-01-10 |
| Last Update Date | 2009-01-10 |