| NPI | 1699273938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLDEN E CLAUSON Owner Doctor 252-269-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 60488489) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-20 |