MARK D NORDLIE

FEDERAL WAY, WA
NPI1730222357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  6490)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- MARK D NORDLIE DDS
32020 1ST AVE S #117
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6314
Mailing Address
-- MARK D NORDLIE DDS
32020 1ST AVE S #117
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6314
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