| NPI | 1861947954 |
|---|---|
| Doing Business As | CHARLES L. REGALADO |
| Entity Type | Organization |
| Authorized Contact | CHARLES LEE REGALADO Dentist 509-326-6862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 006678) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |