| NPI | 1912224429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D WEIAND Doctor 509-926-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7926) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 5501) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |