| NPI | 1720113673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J PRITCHARD Orthodontist 360-695-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 4531) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-15 |