NPI | 1811214307 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER LELAND STUART Dentist/Owner 360-574-3985 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4261) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |