Individual
DONALD EDWARD NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
408 LILLY RD NE STE B, OLYMPIA, WA 98506-6954
(360) 459-5900
(360) 459-8720
Mailing address
408 LILLY RD NE STE B, OLYMPIA, WA 98506-6954
(360) 459-5900
(360) 459-8720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4384
WA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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