| NPI | 1841518859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN NORELL Dentist 509-837-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 7925) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |