| NPI | 1699076448 |
|---|---|
| Other Name | LACAMAS DENTAL |
| Entity Type | Organization |
| Authorized Contact | GENE WAYNE SCHEEL Dentist 360-896-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00007282) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |