| NPI | 1912477209 |
|---|---|
| Doing Business As | MAIN STREET DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERIC WINTERTON Member 509-987-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |