| NPI | 1770540809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A PINSON President Of Corp 360-293-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00003985) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-11-28 |