| NPI | 1871983262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DAVID ANDROS Dentist 509-792-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60247879) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |