NPI | 1629706502 |
---|---|
Doing Business As | DENTISTRY @ MARYSVILLE |
Entity Type | Organization |
Authorized Contact | BRENDA GRAY Office Manager 253-236-7456 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-08-09 |
Last Update Date | 2022-08-09 |