| NPI | 1821003237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHIANG President/Dentist 509-332-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8759) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |