Provider First Line Business Practice Location Address:
130 S 15TH ST STE 101
Provider Second Line Business Practice Location Address:
NORTH SOUND ENDODONTCS
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98274-4569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-428-4393
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2007