| NPI | 1669824314 |
|---|---|
| Doing Business As | GREELEY DENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Credentialing Specialist 509-315-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-03-20 |