| NPI | 1720538986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KREIDLER. MOSS CEO 360-478-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60565466) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |