| NPI | 1669718516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER E PARKINSON Owner 509-946-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 25103DE00009) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |