Individual
JOE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-2102
Mailing address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-2102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019198
MI
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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