| NPI | 1922253384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD DAVIS President 509-884-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 00006651) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |