NPI | 1730148248 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN R CHENEY Owner 360-794-5788 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA de00008524) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2012-10-03 |