NPI | 1760936470 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTI NMI GREIF Office Coordinator 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 |