| NPI | 1740690247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE OLMSTEAD Doctor/Owner 509-891-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00008465) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |