| NPI | 1801103155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KEVIN COE Dentist/Owner 360-255-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 00007568) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |