| NPI | 1942657952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY HAMILTON COX Owner 509-765-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60331610) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60331610) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |