| NPI | 1881130912 |
|---|---|
| Other Name | VOLUNTEERS IN MEDICINE OF THE OLYMPICS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARY E HOGAN Executive Director 360-457-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 602166835) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |