| NPI | 1720240203 |
|---|---|
| Other Name | FAIRWAY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROHN FALTER President 360-623-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8288) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |