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 |