Organization
SMILERIGHT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M'LISSA RAJCICH D.M.D., M.S. (OWNER)
(253) 845-7583
Entity
Organization
Contact information
Practice address
602 MERIDIAN S, PUYALLUP, WA 98371-5908
(253) 845-7583
(253) 845-0535
Mailing address
602 MERIDIAN S, PUYALLUP, WA 98371-5908
(253) 845-7583
(253) 845-0535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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