| NPI | 1801115662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE RUTHERFORD Owner/Dentist 360-568-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009141) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |