NPI | 1679614267 |
---|---|
Doing Business As | MIDTOWN DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | KRISTINIA LOUISE BUNCH President 509-946-1678 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-08 |
Last Update Date | 2009-04-14 |