| NPI | 1760933329 |
|---|---|
| Other Name | OPEN WIDE |
| Entity Type | Organization |
| Authorized Contact | SHERRI L MATHEWS Office Mananger 509-663-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA de00010100) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |