| NPI | 1942523535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P DREW Owner/President 360-698-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00006462) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |