| NPI | 1841033529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN OSSMAN Owner 360-825-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-19 |