| NPI | 1861826489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY T PING Owner/President 509-664-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 00010971) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |