| NPI | 1841336153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PAGE BROWN President 509-783-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA 5156) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-02-22 |