| NPI | 1730668310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIN NGUYEN General Dentist 509-591-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60512243) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-07-01 |