| NPI | 1700139953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINDIE L SHEELER Owner 360-681-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DN60313524) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |