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 |