| NPI | 1942410436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI ANN TAYLOR Accounts Receivable Manager 509-928-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: WA 7006) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-02-25 |