NPI | 1841321676 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH C VIZE Owner 509-547-8661 |
Organization Subpart ? | No |
Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000363) |
Additional Taxonomies | 122400000X Denturist (Licence: OR DT-DO11353) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |