| NPI | 1801806898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. HULEATT Doctor/Owner 360-435-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006048) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |