| NPI | 1942414065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK WILLIAM TATARYN Owner President 509-747-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA 7248) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |