| NPI | 1780767871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL K TOROK Operations Manager 509-627-6888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 10024) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-02-23 |