| NPI | 1740630342 |
|---|---|
| Doing Business As | ADVANCED PEDIATRIC DENTISTRY OF WALLA WALLA |
| Doing Business As | CRAIK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELLISSA RENNER Regional Operations Manager 541-667-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60203055) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-08-19 |