| NPI | 1700969391 |
|---|---|
| Doing Business As | ORCHARD HILLS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY GUTIERREZ Practice Manager 509-375-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 50C0001212) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-02-19 |