| NPI | 1821469727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRET REED Dentist 530-400-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 60399496) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2015-10-18 |