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 |