NPI | 1992017131 |
---|---|
Doing Business As | DENTAL 32 |
Entity Type | Organization |
Authorized Contact | RANDY BLAIR N BLAIR Owner/Dentist 509-308-8068 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE 60089784) |
Enumeration Date | 2010-07-03 |
Last Update Date | 2018-06-01 |