| NPI | 1760637334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W RASMUSSEN President 360-293-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 7085) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |