NPI | 1942399324 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE C TOILLION Owner 509-755-5437 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 4735) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2016-07-28 |