NPI | 1972712354 |
---|---|
Former Legal Business Name | DALE N HOLDREN MD INC |
Entity Type | Organization |
Authorized Contact | DALE N HOLDREN Owner President 360-377-3703 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00031837) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003606) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2015-03-31 |