| NPI | 1891843769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY MORRIS Dental Office Manager 360-306-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010128) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-08-17 |