MACY M BIENERTH

VANCOUVER, WA
NPI1083726038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  a10295)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mrs. MACY M BIENERTH efda
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
Mailing Address
Mrs. MACY M BIENERTH efda
24700 NW 24TH AVE
RIDGEFIELD, WA 98642-9415
Phone number: 360-887-0062