# DANSIE PEDIATRIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801383484
- **Authorized official:** DR. BRIAN LYNN DANSIE DDS (DENTIST/OWNER)
- **Authorized official phone:** (425) 255-5532

## Contact information

- **Practice address:** 3316 56TH ST NW, SUITE 100, GIG HARBOR, WA 98338
- **Practice address phone:** (425) 255-5532
- **Practice address fax:** (425) 255-1658
- **Mailing address:** 3316 56TH ST NW, SUITE 100, GIG HARBOR, WA 98338
- **Mailing address phone:** (425) 255-5532
- **Mailing address fax:** (425) 255-1658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60356126 | WA | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/18/2018