| NPI | 1932540234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BRADY BATES Dentist 509-795-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60290349) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |