| NPI | 1679976161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANGOTTI Finance Director 509-823-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00009229) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60400620) |
| 122300000X Dentist (Licence: WA DE00010686) | |
| 122300000X Dentist (Licence: WA DE60471711) | |
| 122300000X Dentist (Licence: WA DE00009414) | |
| 122300000X Dentist (Licence: WA DE60293839) | |
| 122300000X Dentist (Licence: WA DE60232173) | |
| 122300000X Dentist (Licence: WA DE60096080) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00009045) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60477207) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60377112) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60220488) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |