| NPI | 1831864727 |
|---|---|
| Doing Business As | COLUMBIA RIVER IMPLANTS AND PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | MIKHAIL GARIBOV Member 360-513-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |