NPI | 1972940294 |
---|---|
Doing Business As | PIONEER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HERBERT EDWARDS Owner/Dentist 509-522-0501 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00011045) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2018-10-17 |