| NPI | 1760715023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J PSOMAS Owner 509-924-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00006062) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |