| NPI | 1902143340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP BASRAI President 509-939-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25103) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |