| NPI | 1659826337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. HARKEN Owner Dentist/President 509-924-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00006125) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |