| 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 |