| NPI | 1831454990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PUGH President 360-256-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010330) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |