| NPI | 1841597424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W LEALE Owner 509-489-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010905) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |