MARK W BIRD

ORTING, WA
NPI1134392392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: WA  DN00000257)
Enumeration Date2008-04-09
Last Update Date2008-04-09
Business Address
-- MARK W BIRD
214 WASHINGTON AVE.
ORTING, WA 98360
Phone number: 253-759-0350
Mailing Address
-- MARK W BIRD
PO BOX 174
ORTING, WA 98360-0174
Phone number: 253-759-0350