| NPI | 1871063412 |
|---|---|
| Doing Business As | YELM PRAIRIE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ELDON LESH Dentist 360-458-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |