Provider First Line Business Practice Location Address:
15421 MAIN STREET, SUITE 101
Provider Second Line Business Practice Location Address:
DR. JESSICA BUEHLER C/O GENTLE DENTAL MILL CREEK
Provider Business Practice Location Address City Name:
MILL CREEK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-316-8095
Provider Business Practice Location Address Fax Number:
425-316-9210
Provider Enumeration Date:
09/15/2008