| 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 |