| NPI | 1982840914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R BYRNE President 360-275-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 6846) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-05-29 |