| NPI | 1790022895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BEHRNDT Dentist 360-696-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60028766) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |