Organization
YODER, GRIESER & SULLIVAN, DDS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L YODER DDS (PARTNER)
(360) 895-4321
Entity
Organization
Contact information
Practice address
1880 POTTERY AVE STE 200, PORT ORCHARD, WA 98366-2518
(360) 895-4321
(360) 895-4326
Mailing address
1880 POTTERY AVE STE 200, PORT ORCHARD, WA 98366-2518
(360) 895-4321
(360) 895-4326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5025796
—
WA
Enumeration date
07/01/2007
Last updated
08/22/2020
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