| NPI | 1679792691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE M MCDONALD Partner 509-891-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7915) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |