| NPI | 1942642327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W BARRY President 360-379-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010696) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |