| NPI | 1194283903 |
|---|---|
| Doing Business As | MARYSVILLE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT C LEE Member 360-653-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-06-06 |