| NPI | 1679733174 |
|---|---|
| Doing Business As | TAILOR MADE SMILES |
| Entity Type | Organization |
| Authorized Contact | CRAIG KENT BARNEY Member 509-374-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010238) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |