| NPI | 1750644498 |
|---|---|
| Doing Business As | CLEARWATER ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S CLEGG President 509-758-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00010180) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |