| NPI | 1760936470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI NMI GREIF Office COO Rdinator 509-783-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 5851) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |