Individual
NATHAN T BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
26323 72ND AVE NW, STANWOOD, WA 98292-6302
(360) 629-2148
Mailing address
26323 72ND AVE NW, STANWOOD, WA 98292-6302
(360) 629-2148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60023532
WA
Other
Enumeration date
07/09/2008
Last updated
10/28/2010
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