NPI | 1942717079 |
---|---|
Doing Business As | MARYSVILLE MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | WILLIAM J MCGLASHAN Owner Dentist 360-718-3098 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-01-10 |
Last Update Date | 2018-01-10 |