| NPI | 1871634287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY GEORGE WARNER Co Owner 360-260-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 4411) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 7644) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-04-02 |