| NPI | 1922252907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ADAMS KING Practice Owner 509-466-2499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5083) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 7358) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |