Mark W Bird is a Denturist based in Orting, WA. Mark W Bird practices in Orting, WA. The NPI Number for Mark W Bird is 1134392392 and holds a License No. DN00000257 (Washington).
The current practice location address for Mark W Bird is 214 Washington Ave., Orting, WA and can be reached out via phone at 253-759-0350.
Location: 214 Washington Ave., Orting, WA, 98360-0174
Provider Profile Details
NPI Number
1134392392
Provider Name
Mark W Bird
Credential
Provider Entity Type
Individual
Gender
Male
Address
214 Washington Ave., Orting, WA, 98360-0174
Phone Number
253-759-0350
Fax Number
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5033642 | 05 | WA |
Provider Business Practice Location Address Details
Address
214 Washington Ave.
City
State
Zip
98360
Phone Number
253-759-0350
Fax Number
Provider Business Mailing Address Details
Address
214 Washington Ave.
City
State
Zip
98360
Phone Number
253-759-0350
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000257 (Washington)
Definition
Definition to come.
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