NPI | 1801649371 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE LADD Owner 509-869-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 122400000X Denturist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
124Q00000X Dental Hygienist | |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |