| NPI | 1770736381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY K COWART Dentist/Owner 253-852-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4912) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-04-23 |