| NPI | 1689386765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA M ADAMS Financial COO Rdinator 509-946-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |