| NPI | 1760622195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J LINSEY HINAND President/CEO 253-597-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |