Individual
MISKY KUSII LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 657-3091
(360) 657-5732
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60080865
WA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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