| Organization Name: | CENTRAL WA ORAL HEALTH FOUNDATION |
| NPI Number: | 1013049394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BROWN (BOARD CHAIR) |
| Mailing Address: | 103 S 3rd St Suite #204 Yakima |
| State: | WA US |
| Postal Code: | 989012883 |
| Phone Number: | 5092481305 |
| Fax Number: | 5095744250 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 15162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |