| NPI | 1881015220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER N SAUTTER Owner 509-928-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 603330670) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |