Organization
JOHN W STIEBER DDS PS
Active
Organization
JOHN W STIEBER DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN R GIMSE (PRACTICE ADMINISTRATOR)
(425) 745-6322
Entity
Organization
Contact information
Practice address
1025 153RD ST SE STE 102, MILL CREEK, WA 98012-4051
(425) 745-6322
(425) 743-0326
Mailing address
1025 153RD ST SE STE 102, MILL CREEK, WA 98012-4051
(425) 745-6322
(425) 743-0326
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235361031
NPI TYPE 1
WA
Enumeration date
10/24/2013
Last updated
10/24/2013
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